The American Chiropractic Association states carpal tunnel is one of the most expensive workplace injuries. An individual who is affected by carpal tunnel syndrome may lose upward of $30,000 over the course of a lifetime through treatment and time off work. Early identification and treatment of this problem may help to save time off work and prevent surgery.
Carpal Tunnel Definition
Compression of the median nerve as it travels through the wrist and into the hand is the major cause of pain and symptoms in carpal tunnel syndrome, or CTS. The carpal tunnel helps protect and encase the nerve and tendons of the fingers as they travel through the wrist. The Mayo Clinic states this passageway is only as large around as the body's thumb. Any inflammation or swelling in this area will rapidly lead to compression of the tissues in that area. Typically, compression of the median nerve will cause distinct pain and numbness in the palm, thumb and index and middle fingers, according to the American Chiropractic Association.
Adjustments
The wrist joint is made up of eight carpal bones that articulate with each other as well as the bones of the hand and forearm. Trauma or even repetitive overuse can cause any one of these bones to shift out of alignment and either put pressure on the carpal tunnel directly or cause the muscles nearby to work differently and spasm. The University of Maryland Medical Center states adjustments for carpal tunnel syndrome focus on the wrists, elbow, shoulder and even the neck. Adjusting the neck can help, as the median nerve originates from nerve roots in the neck.
Exercises and Stretches
The American Academy of Orthopedic Surgeons states exercising the wrist helps to decrease the symptoms of CTS for many people. This is due to the movement of fluids brought on by exercise and stretching. A common and simple exercise that also stretches the wrist and forearm is lightly clenching the fist and curling the wrist toward the palm side of the forearm. From there, open the hand and move the wrist back toward the other side of the forearm. Move slowly back and forth at least 10 times. The AAOS recommends making this a part of your morning and nighttime routine. A chiropractor may prescribe this and other specific exercises.
Hot/Cold Therapy
Hot and cold therapy may be done in the chiropractor's office or recommended as homework. Alternating heat and ice will help move fluids in and out of the area, reduce pain, and help keep inflammation at bay. The University of Maryland Medical Center prescribes placing the wrist in hot water or on a hot pack for three minutes followed by immersion in cold water or on an ice pack for one minute. This procedure should be done three times in a row, always ending with ice, and performed two to three times daily.
Splints
Chiropractors can recommend or even make splints in the office to initially wear at work or at night. The severity of the symptoms will determine how often the splints will have to be worn. The University of Maryland Medical Center warns you to be prepared to wear splints full time for three to four weeks before switching to using them only at night.
